Paradoxically developed optochiasmatic tuberculoma and tuberculous lymphadenitis : A case report with 18-month follow up by MRI

We report the first case ofextracranial tuberculous lymphadenitis which paradoxically developed during treatment of intracranial tuberculoma. Our patient, a 15-year-old girl who initially presented with meningitis and intracranial tuberculomas, developed extracranial tuberculomas during treatment fo...

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Bibliographic Details
Published inSouthern medical journal (Birmingham, Ala.) Vol. 99; no. 4; pp. 388 - 392
Main Authors KALKAN, Ahmet, SERHATLIOGLU, Selami, OZDEN, Mehmet, DENK, Affan, DEMIRDAG, Kutbettin, YILMAZ, Turgut, SIRRI KILIC, Suleyman
Format Journal Article
LanguageEnglish
Published Hagerstown, MD Lippincott Williams & Wilkins 01.04.2006
Subjects
Adolescent
Antitubercular Agents - therapeutic use
Bacterial diseases
Biological and medical sciences
Drug Resistance, Multiple, Bacterial
Female
Follow-Up Studies
General aspects
Human bacterial diseases
Humans
Infectious diseases
Magnetic Resonance Imaging
Medical sciences
Optic Chiasm - microbiology
Tuberculoma, Intracranial - diagnosis
Tuberculoma, Intracranial - drug therapy
Tuberculosis and atypical mycobacterial infections
Tuberculosis, Lymph Node - diagnosis
Tuberculosis, Lymph Node - drug therapy
Pseudotumor
Tuberculoma
Mycobacterial infection
Nuclear magnetic resonance imaging
Infection
Case study
Medicine
Tuberculosis
Adenopathy
Bacteriosis
Medical imagery
Tumor
Lymphadenitis
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Summary:We report the first case ofextracranial tuberculous lymphadenitis which paradoxically developed during treatment of intracranial tuberculoma. Our patient, a 15-year-old girl who initially presented with meningitis and intracranial tuberculomas, developed extracranial tuberculomas during treatment for central nervous system tuberculosis. She was followed clinically with cerebrospinal fluid (CSF) studies and magnetic resonance imaging (MRI) at three monthly intervals. Within 18 months of specific antituberculous treatment, the patient had fully recovered. The course and response to therapy are discussed in light of the current literature.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ObjectType-Report-1
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ISSN:0038-4348
1541-8243
DOI:10.1097/01.smj.0000209091.57281.23